Organization Active NPI

Community Loving Care Hospice, L.L.C.

  • Community Based Hospice Care Agency
  • Wentzville, MO
National Provider Identifier
1245276781
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMMUNITY LOVING CARE HOSPICE, L.L.C.
Practice address
251 E Pearce Blvd
Wentzville, MO 63385-1529
Phone
(636) 639-6280
Fax
(636) 639-6317
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Wayne Larry Dandridge
Title
Chief Operating Manager
Phone
(636) 639-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X MO Primary

Addresses

Primary practice location

251 E Pearce Blvd
Wentzville, MO 63385-1529

Mailing address

251 E Pearce Blvd
Wentzville, MO 63385-1529
Phone (636) 639-6280

National Provider Directory

National Provider Directory
Tax ID family
Community Loving Care Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

914 W Main St
Bowling Green, MO 63334
Phone (573) 324-9828

251 E Pearce Blvd
Wentzville, MO 63385
Phone (636) 639-6280

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245276781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E PEARCE BLVD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851529",
            "telephone_number": "636-639-6280",
            "fax_number": "636-639-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E PEARCE BLVD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851529",
            "telephone_number": "636-639-6280",
            "fax_number": "636-639-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LOVING CARE HOSPICE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANDRIDGE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "CHIEF OPERATING MANAGER",
        "authorized_official_telephone_number": "636-639-6280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.